K Number
K982059

Validate with FDA (Live)

Date Cleared
1998-11-30

(172 days)

Product Code
Regulation Number
878.4040
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material.

Device Description

A reusable surgical gown fabricated from 99% polyester, 1% carbon, chemically treated fabric and designed to provide fluid protection through up to 150 laundry/sterilization cycles.

AI/ML Overview

The provided text describes a medical device, the Rotecno® 2000 Surgical Gown, and its regulatory submission (K982059) to the FDA. It outlines the device's intended use and performance testing summary. However, it does not contain detailed information about specific acceptance criteria and a study proving the device meets those criteria, as typically found in a clinical trial report or a comprehensive validation study.

Instead, the document primarily functions as an FDA clearance letter, confirming "substantial equivalence" to a predicate device based on material, design, form, fit, and function, rather than providing raw performance data against predefined numerical acceptance criteria. The "Performance Testing Summary" section broadly states that the gown was "found acceptable for its intended use" after testing for various properties, but it does not list the acceptance criteria themselves or the specific results.

Therefore, many of the requested fields cannot be directly extracted from the provided text. I will fill in what can be inferred or explicitly stated and indicate where information is missing.


1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Inferred from testing listed)Reported Device Performance (Summary statement)
Breaking Strength (specific values not provided)Found acceptable for its intended use
Tear Resistance (specific values not provided)Found acceptable for its intended use
Air Permeability (specific values not provided)Found acceptable for its intended use
Water Repellency (specific values not provided)Found acceptable for its intended use
Impact Penetration (specific values not provided)Found acceptable for its intended use
Hydrostatic Head (specific values not provided)Found acceptable for its intended use
Flammability (specific values not provided)Found acceptable for its intended use
Aqueous Bacterial Barrier (specific values not provided)Found acceptable for its intended use
Material toxicity/biocompatibilityFound acceptable for its intended use
Durability through 150 laundry/sterilization cycles (implied for fluid protection)Designed to provide fluid protection through up to 150 laundry/sterilization cycles (testing to confirm this durability is implied by the performance summary but not explicitly detailed with results)

Missing Information: The document states that the gown was "found acceptable for its intended use" for various performance characteristics. However, it does not provide the specific numerical acceptance criteria for each test (e.g., a minimum breaking strength in newtons, or a maximum tear resistance in grams). It also does not provide the specific measured performance values obtained during testing.

2. Sample size used for the test set and the data provenance

  • Sample size used for the test set: Not specified in the provided text.
  • Data provenance: Not specified in the provided text. The tests are likely laboratory-based bench tests rather than clinical trials with human subjects. The phrase "Performance Testing Summary" suggests the testing was conducted by the manufacturer (Dowling Textile Company) or a subcontractor, but details are absent.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Number of experts: Not applicable. The validation for this type of device (surgical gown) primarily relies on objective physical and microbiological property testing rather than expert-established ground truth from images or clinical assessments.
  • Qualifications of experts: Not applicable.

4. Adjudication method for the test set

  • Adjudication method: Not applicable, as detailed in point 3.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • MRMC study done: No. This type of study is not relevant for a surgical gown. MRMC studies are typically used to evaluate diagnostic imaging devices or AI algorithms where human interpretation is involved.
  • Effect size: Not applicable.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Standalone study done: No. This device is a physical product (surgical gown), not an algorithm or AI system.

7. The type of ground truth used

  • Type of ground truth: The "ground truth" for this device's performance is established by standardized laboratory test methods for material properties (e.g., breaking strength, tear resistance, water repellency, flammability, bacterial barrier). These are objective measurements rather than subjective expert consensus, pathology, or outcomes data in the traditional sense of medical diagnostics. The "intended use" statement also forms a basis for acceptability, ensuring the device performs its protective function.

8. The sample size for the training set

  • Sample size for the training set: Not applicable. This device is not an AI/ML algorithm that requires a training set. The "training" here would refer to material development and manufacturing process optimization, which is not described.

9. How the ground truth for the training set was established

  • How the ground truth for the training set was established: Not applicable, as detailed in point 8.

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.

Manufacturer:Dowling Textile Company615 Macon RoadMcDonough, Georgia 30253(770) 957-3981
Regulatory Contact:Tim Cummins
Common Name:Reusable Surgical Gown, NON STERILE
Trade Name:Rotecno® 2000 Surgical Gown
Classification Number:79FYA
Class, Regulation:II per 21 CFR §878.4040
Predicate Device:SafeCare™ Reusable Surgical Gown
Device Description:A reusable surgical gown fabricated from 99%polyester, 1% carbon, chemically treated fabric anddesigned to provide fluid protection through up to 150laundry/sterilization cycles.
Intended Use:"Intended to be worn by operating room personnelduring surgical procedures to protect both the surgicalpatient and the operating room personnel fromtransfer of microorganisms, body fluids, andparticulate material."
Substantial Equivalence:The Rotecno® 2000 Surgical Gown is substantiallyequivalent to the SafeCare™ Gown in material,design, form, fit, and function.
Toxicity Testing Summary:The material used in the fabrication of the Rotecno®2000 Surgical Gown has been found acceptable for itsintended use.
Performance Testing Summary:The Rotecno® 2000 Surgical Gown has been testedfor breaking strength, tear resistance, air permeabilitywater repellency, impact penetration, hydrostatichead, flammability, and aqueous bacterial barrier andfound acceptable for its intended use.

.

K982059 XVI. 510 (k) Summary

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines forming its body and wings. The eagle is positioned within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 30 1998

Mr. Tim Cummins RA/QA Manager Dowling Textile Company 615 Macon Road McDonough, Georgia 30253

K982059 Re : Rotecno® 2000 Reusable Surgical Gown, Trade Name: Nonsterile Regulatory Class: II Product Code: FYA Dated: October 21, 1998 Received: October 27, 1998

Dear Mr. Cummins:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਕੇ substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Requlation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

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Page 2 - Mr. Cummins

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other qeneral information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address

"http://www.fda.gov/cdrh/dsma/dsmamajin.html".

Sincerely yours,

Timothy A. Ulatowski

Director Infection Control, Division of Dental, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K 982059 Indications for Use XVII.

Rotection 2000 Surgical Gown, NONSTERILE AND REUSHALE Device Name:

The Rotecno® 2000 Surgical Gown is "intended to be worn by operating room personnel during The Rolection 2000 Surgical Goth the surgical patient and the operating room personnel from the transfer of microorganisms, body fluids, and particulate material."

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) ( Division of Dental, Infection Control, and General Hospital Devices 510(k) Number

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use X

(Optional Format 1-2-96).

§ 878.4040 Surgical apparel.

(a)
Identification. Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.(b)
Classification. (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.